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Dr. Richard E Mack JR.

Plastic and Reconstructive Surgery

16311 Ventura Blvd Suite 1080
Encino , California 91436-2124

Write a Review Save Call QR Code

(818) 501-5073

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Dr. Richard E Mack JR.

Plastic and Reconstructive Surgery

16311 Ventura Blvd Suite 1080
Encino , California 91436-2124

(818) 501-5073

Write a Review Save Call

Dr. Richard E Mack JR.

Plastic and Reconstructive Surgery

16311 Ventura Blvd Suite 1080
Encino , California 91436-2124

(818) 501-5073 Call

Write a Review Save
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Location
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Dr. Richard E Mack JR.
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Plastic and Reconstructive Surgery

Languages spoken

  • English

Location

16311 Ventura Blvd Suite 1080 Encino , California 91436-2124
Get Directions

First Address

  • Dr. Richard E Mack JR.
  • 16311 Ventura Blvd Suite 1080
  • Encino, CA
  • Zip : 91436-2124
  • Phone : (818) 501-5073

Second Address

  • Dr. Richard E Mack JR.
  • 16311 Ventura Blvd Suite 1080
  • Encino, CA
  • Zip : 91436-2124
  • Phone : (818) 501-5073

Reviews

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FAQs

Where did Dr. Richard E Mack JR. attend graduate school?

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Where did Dr. Richard E Mack JR. do his residency?

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Where did Dr. Richard E Mack JR. do his fellowship?

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Is Dr. Richard E Mack JR. board certified?

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What type of doctor is Dr. Richard E Mack JR.

Plastic and Reconstructive Surgery

In what state does Dr. Richard E Mack JR. practice in?

California

Where is Dr. Richard E Mack JR.’s practice located?

16311 Ventura Blvd Suite 1080 , Encino, California, 91436-2124

What is Dr. Richard E Mack JR.’s gender?

Male

Is Dr. Richard E Mack JR. a sole practitioner?

No

Is Dr. Richard E Mack JR. accepting new patients?

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What languages does Dr. Richard E Mack JR. speak?

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Does Dr. Richard E Mack JR. accept insurance?

Yes, Dr. Richard E Mack JR. accepts insurance

Does Dr. Richard E Mack JR. offers telemedicine?

Dr. Richard E Mack JR. has not indicated if he offers telemedicine

What is Dr. Richard E Mack JR.’s professional license number?

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What is Dr. Richard E Mack JR.’s NPI number?

1023225810

Does Dr. Richard E Mack JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2086S0122X Plastic and Reconstructive Surgery G 81683 CA

National Provider Identifier

NPI 1023225810
Provider Name Dr. Richard E Mack JR.
First Address Encino, CA 91436-2124
Second Address Encino, CA 91436-2124
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 17/05/2007
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
G 81683 CALIFORNIA MEDICAL LICENS (01) CA

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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